Mandibular Gingival Recessions: A Challenge of Achieving Complete Root Coverage in Periodontal Plastic Surgery?

Ahmet Çağlar Kalkan; Burcu Özdemir; Sıla Çağrı İşler

doi:10.59124/guhes.1574527

EN TR

Mandibular Gingival Recessions: A Challenge of Achieving Complete Root Coverage in Periodontal Plastic Surgery?

Abstract

Management of gingival recession has been one of the primary interests of periodontal research for many years. Periodontal plastic-aesthetic surgery has advanced due to the understanding of periodontal conditions, anatomical factors and integration of recession classification into pre-operative planning. As a result, complete root coverage is achieved frequently in most cases and has become the criterion for success. However; mandibular gingival recessions still proved to be a challenge for clinicians when widely accepted techniques that showed high predictability of root coverage were applied. To address this clinical condition on the mandible, innovations of accepted surgical procedures have been published. In the present review, we compiled and elucidated the developments made in the treatment protocols for mandibular gingival recessions.

Keywords

connective tissue, dentin hypersensitivity, gingival recession, mandible, plastic surgery

Thanks

Ahmet Çağlar Kalkan would like to thank Bejna Bozyel and Abdulnasır Gürbüz for their assistance and guidance during periodontal surgery

Mandibular Diş Eti Çekilmeleri: Periodontal Plastik Cerrahide Tam Kök Kapama Sağlamak Bir Zorluk mu?

Abstract

Diş eti çekilmelerinin yönetimi, uzun yıllardır periodontal araştırmaların temel ilgi alanlarından biri olmuştur. Periodontal plastik-estetik cerrahi, periodontal durumların, anatomik faktörlerin ve çekilme sınıflandırmasının ameliyat öncesi planlamaya entegrasyonunun anlaşılması sayesinde ilerleme kaydetmiştir. Bunun sonucunda, çoğu vakada tam kök kapanma sıkça sağlanmış ve bu durum bir başarı kriteri haline gelmiştir. Ancak; mandibular diş eti çekilmeleri; kök kapama konusunda literatürde yüksek öngörülebilirlik gösteren ve sıkça kullanılan teknikler uygulandığında bile klinisyenler için hala bir zorluk teşkil etmektedir. Mandibuladaki bu klinik duruma yönelik olarak kabul görmüş cerrahi prosedürlerde yenilikler yayınlanmıştır. Bu derlemede, mandibular diş eti çekilmelerinin tedavi protokollerinde yapılan gelişmeleri derleyip açıklığa kavuşturduk.

Keywords

bağ dokusu, dentin hassasiyeti, diş eti çekilmesi, mandibula, plastik cerrahi

References

Agusto, M., Salman, A., Parker, D., Choi, D., & Schincaglia, G. P. (2022). Root Coverage Predictability in the Treatment of Gingival Recessions on Mandibular Anterior Teeth. The JDR Clinical & Translational Research, 7(3), 224-233. doi: https://dx.doi.org/10.1177/23800844211009437
Akerly, W. B. (1977). Prosthodontic treatment of traumatic overlap of the anterior teeth. Journal of Prosthetic Dentistry, 38(1), 26-34. doi: https://dx.doi.org/10.1016/0022-3913(77)90263-3
Allen, A. L. (1994). Use of the supraperiosteal envelope in soft tissue grafting for root coverage. I. Rationale and technique. International Journal Periodontics & Restorative Dentistry, 14(3), 216-227.
Allen, E. P., & Miller, P. D., Jr. (1989). Coronal positioning of existing gingiva: short term results in the treatment of shallow marginal tissue recession. Journal of Periodontology, 60(6), 316-319. doi: https://dx.doi.org/10.1902/jop.1989.60.6.316
Aroca, S., Keglevich, T., Nikolidakis, D., Gera, I., Nagy, K., Azzi, R., & Etienne, D. (2010). Treatment of class III multiple gingival recessions: a randomized-clinical trial. Journal of Clinical Periodontology, 37(1), 88-97. doi: https://dx.doi.org/10.1111/j.1600-051X.2009.01492.x
Azzi, R., & Etienne, D. (1998). Recouvrement radiculaire et reconstruction papillaire par greffon conjonctif enfoui sous un lambeau vestibulaire tunnélisé et tracté coronairement. Journal de Parodontologie & d'Implantologie Orale, 17(1), 71-77.
Azzi, R., Etienne, D., Takei, H., & Fenech, P. (2002). Surgical thickening of the existing gingiva and reconstruction of interdental papillae around implant-supported restorations. International Journal of Periodontics & Restorative Dentistry, 22(1), 71-77.
Baker, P., & Spedding, C. (2002). The aetiology of gingival recession. Dental Update, 29(2), 59-62. doi: https://dx.doi.org/10.12968/denu.2002.29.2.59
Bernimoulin, J. P., Lüscher, B., & Mühlemann, H. R. (1975). Coronally repositioned periodontal flap. Clinical evaluation after one year. Journal of Clinical Periodontology, 2(1), 1-13. doi: https://dx.doi.org/10.1111/j.1600-051x.1975.tb01721.x
Bertl, K., Spineli, L. M., Mohandis, K., & Stavropoulos, A. (2021). Root coverage stability: A systematic overview of controlled clinical trials with at least 5 years of follow-up. Clinical and Experimental Dental Research, 7(5), 692-710. doi:https://doi.org/10.1002/cre2.395

Bignozzi, I., Crea, A., Capri, D., Littarru, C., Lajolo, C., & Tatakis, D. N. (2014). Root caries: a periodontal perspective. Journal of Periodontal Research, 49(2), 143-163. doi:https://doi.org/10.1111/jre.12094
Bjorn, H. (1963). Fri transplantation av gingival propria. Sver Tandlakarforb Tidn, 55, 84.
Blanes, R. J., & Allen, E. P. (1999). The bilateral pedicle flap-tunnel technique: a new approach to cover connective tissue grafts. International Journal of Periodontics & Restorative Dentistry, 19(5), 471-479.
Bruno, J. F. (1994). Connective tissue graft technique assuring wide root coverage. International Journal of Periodontics & Restorative Dent, 14(2), 126-137.
Cairo, F., Nieri, M., Cattabriga, M., Cortellini, P., De Paoli, S., De Sanctis, M., Fonzar A., Francetti L., Merli M.,Rasperini G., Silvestri M., Trombelli L., Zucchelli G., Pini-Prato, G. P. (2010). Root Coverage Esthetic Score After Treatment of Gingival Recession: An Interrater Agreement Multicenter Study. Journal of Periodontology, 81(12), 1752-1758. doi:https://doi.org/10.1902/jop.2010.100278
Cairo, F., Nieri, M., Cincinelli, S., Mervelt, J., & Pagliaro, U. (2011). The interproximal clinical attachment level to classify gingival recessions and predict root coverage outcomes: an explorative and reliability study. Journal of Clinical Periodontology, 38(7), 661-666. doi: https://dx.doi.org/10.1111/j.1600-051X.2011.01732.x
Cairo, F., Rotundo, R., Miller, P. D., & Pini Prato, G. P. (2009). Root coverage esthetic score: a system to evaluate the esthetic outcome of the treatment of gingival recession through evaluation of clinical cases. Journal of Periodontology, 80(4), 705-710. doi: https://dx.doi.org/10.1902/jop.2009.080565
Camargo, P., Melnick, P., & Kenney, E. (2001). The use of free gingival grafts for aesthetic purposes. Periodontology 2000, 27, 72-96. doi: https://dx.doi.org/10.1034/j.1600-0757.2001.027001072.x
Carcuac, O., Trullenque-Eriksson, A., & Derks, J. (2023). Modified free gingival graft technique for treatment of gingival recession defects at mandibular incisors: A randomized clinical trial. Journal of Periodontology, 94(6), 722-730. doi:https://doi.org/10.1002/JPER.22-0581
Chambrone, L., Ortega, M. A. S., Sukekava, F., Rotundo, R., Kalemaj, Z., Buti, J., & Prato, G. P. P. (2019). Root coverage procedures for treating single and multiple recession-type defects: An updated Cochrane systematic review. Journal of Periodontology, 90(12), 1399-1422. doi: https://dx.doi.org/10.1002/jper.19-0079
Chambrone, L., & Tatakis, D. N. (2015). Periodontal soft tissue root coverage procedures: a systematic review from the AAP Regeneration Workshop. Journal of Periodontology, 86(2 Suppl), S8-51. doi: https://dx.doi.org/10.1902/jop.2015.130674
Chambrone, L., & Tatakis, D. N. (2016). Long-Term Outcomes of Untreated Buccal Gingival Recessions: A Systematic Review and Meta-Analysis. Journal of Periodontology, 87(7), 796-808. doi: https://dx.doi.org/10.1902/jop.2016.150625
Chang, T.-H., Alshatti, R., & Mordini, L. (2024). Coronally Advanced Flap versus Tunnel on the treatment of gingival recession and peri‑implant mucosal defects: A review of current clinical indications. Dentistry Review, 4(2), 100090. doi:https://doi.org/10.1016/j.dentre.2024.100090
CCortellini, P., & Bissada, N. F. (2018). Mucogingival conditions in the natural dentition: Narrative review, case definitions, and diagnostic considerations. Journal of Periodontology, 89(S1), S204-S213. doi:https://doi.org/10.1002/JPER.16-0671
CCortellini, P., Tonetti, M., Baldi, C., Francetti, L., Rasperini, G., Rotundo, R., Nieri, M., Franceschi, D., Labriola, A. and Pini Prato, G (2009). Does placement of a connective tissue graft improve the outcomes of coronally advanced flap for coverage of single gingival recessions in upper anterior teeth? A multi-centre, randomized, double-blind, clinical trial. Journal of Clinical Periodontology, 36(1), 68-79. doi: https://dx.doi.org/10.1111/j.1600-051X.2008.01346.x
de Sanctis, M., Baldini, N., Goracci, C., & Zucchelli, G. (2011). Coronally advanced flap associated with a connective tissue graft for the treatment of multiple recession defects in mandibular posterior teeth. International Journal of Periodontics & Restorative Dent, 31(6), 623-630.
de Sanctis, M., & Zucchelli, G. (2007). Coronally advanced flap: a modified surgical approach for isolated recession-type defects: three-year results. Journal of Clinical Periodontology, 34(3), 262-268. doi: https://dx.doi.org/10.1111/j.1600-051X.2006.01039. x
Edel, A. (1974). Clinical evaluation of free connective tissue grafts used to increase the width of keratinised gingiva. Journal of Clinical Periodontology, 1(4), 185-196. doi: https://dx.doi.org/10.1111/j.1600-051x.1974.tb01257.x
Er, N., Ozkavaf, A., Berberoğlu, A., & Yamalik, N. (2000). An unusual cause of gingival recession: oral piercing. Journal of Periodontology, 71(11), 1767-1769. doi: https://dx.doi.org/10.1902/jop.2000.71.11.1767
Esteibar, J. R., Zorzano, L. A., Cundín, E. E., Blanco, J. D., & Medina, J. R. (2011). Complete root coverage of Miller Class III recessions. International Journal of Periodontics & Restorative Dent, 31(4), e1-7.
Fernández-Jiménez, A., García-De-La-Fuente, A.-M., Estefanía-Fresco, R., Marichalar-Mendia, X., Aguirre-Urizar, J.-M., & Aguirre-Zorzano, L.-A. (2021). Complete root coverage in the treatment of Miller class III or RT2 gingival recessions: a systematic review and meta-analysis. BMC Oral Health, 21(1), 145. doi: https://dx.doi.org/10.1186/s12903-021-01494-3
Fernández-Jiménez, A., García-De-La-Fuente, A. M., Marichalar-Mendia, X., Aguirre-Zorzano, L. A., & Estefanía-Fresco, R. (2024). Treatment of deep single RT2 and RT3 antero-mandibular gingival recessions with a combination of surgical techniques: A case series study. Journal of Esthetic and Restorative Dentistry, 36(2), 363-372. doi:https://doi.org/10.1111/jerd.13120
González-Febles, J., Romandini, M., Laciar-Oudshoorn, F., Noguerol, F., Marruganti, C., Bujaldón-Daza, A., Sanz, M. (2023). Tunnel vs. coronally advanced flap in combination with a connective tissue graft for the treatment of multiple gingival recessions: a multi-center randomized clinical trial. Clinical Oral Investigations, 27(7), 3627-3638. doi: https://dx.doi.org/10.1007/s00784-023-04975-7
Gorman, W. J. (1967). Prevalence and etiology of gingival recession. Journal of Periodontology, 38(4), 316-322. doi: https://dx.doi.org/10.1902/jop.1967.38.4.316
Goyal, L., Gupta, N. D., Gupta, N., & Chawla, K. (2019). Free Gingival Graft as a Single Step Procedure for Treatment of Mandibular Miller Class I and II Recession Defects. World Journal of Plastic Surgery, 8(1), 12-17. doi: https://dx.doi.org/10.29252/wjps.8.1.12.
Guldener, K., Lanzrein, C., Eliezer, M., Katsaros, C., Stähli, A., & Sculean, A. (2020). Treatment of single mandibular recessions with the modified coronally advanced tunnel or laterally closed tunnel, hyaluronic acid, and subepithelial connective tissue graft: a report of 12 cases. Quintessence International, 51(6), 456-463. doi: https://dx.doi.org/10.3290/j.qi.a44492
Haggerty, P. C. (1966). The use of a free gingival graft to create a healthy environment for full crown preparation. Case history. Periodontics, 4(6), 329-331.
Harris, R. J. (1992). The connective tissue and partial thickness double pedicle graft: a predictable method of obtaining root coverage. Journal of Periodontology, 63(5), 477-486. doi: https://dx.doi.org/10.1902/jop.1992.63.5.477
Harris, R. J., Miller, L. H., Harris, C. R., & Miller, R. J. (2005). A Comparison of Three Techniques to Obtain Root Coverage on Mandibular Incisors. Journal of Periodontology, 76(10), 1758-1767. doi:https://doi.org/10.1902/jop.2005.76.10.1758
Harvey, P. M. (1970). Surgical reconstruction of the gingiva. II. Procedures. New Zealand Dental Journal, 66(303), 42-52.
Jahnke, P. V., Sandifer, J. B., Gher, M. E., Gray, J. L., & Richardson, A. C. (1993). Thick free gingival and connective tissue autografts for root coverage. Journal of Periodontology, 64(4), 315-322. doi: https://dx.doi.org/10.1902/jop.1993.64.4.315
Jepsen, S., Caton, J. G., Albandar, J. M., Bissada, N. F., Bouchard, P., Cortellini, P., Yamazaki, K. (2018). Periodontal manifestations of systemic diseases and developmental and acquired conditions: Consensus report of workgroup 3 of the 2017 World Workshop on the Classification of Periodontal and Peri-Implant Diseases and Conditions. Journal of Clinical Periodontology, 45(S20), S219-S229. doi:https://doi.org/10.1111/jcpe.12951
Karring, T., Cumming, B. R., Oliver, R. C., & Löe, H. (1975). The origin of granulation tissue and its impact on postoperative results of mucogingival surgery. Journal of Periodontology, 46(10), 577-585. doi: https://dx.doi.org/10.1902/jop.1975.46.10.577
Karring, T., Lang, N. P., & Löe, H. (1975). The role of gingival connective tissue in determining epithelial differentiation. Journal of Periodontal Research, 10(1), 1-11. doi: https://dx.doi.org/10.1111/j.1600-0765.1975.tb00001.x
Karring, T., Ostergaard, E., & Löe, H. (1971). Conservation of tissue specificity after heterotopic transplantation of gingiva and alveolar mucosa. Journal of Periodontal Research, 6(4), 282-293. doi: https://dx.doi.org/10.1111/j.1600-0765.1971.tb00619.x
Kassab, M. M., & Cohen, R. E. (2003). The etiology and prevalence of gingival recession. The Journal of the American Dental Association 134(2), 220-225. doi:10.14219/jada.archive.2003.0137
Kuru, B., & Yıldırım, S. (2013). Treatment of localized gingival recessions using gingival unit grafts: a randomized controlled clinical trial. Journal of Periodontology, 84(1), 41-50. doi: https://dx.doi.org/10.1902/jop.2012.110685
Langer, B., & Langer, L. (1985). Subepithelial connective tissue graft technique for root coverage. Journal of Periodontology, 56(12), 715-720. doi:10.1902/jop.1985.56.12.715
Lavu, V., Gutknecht, N., Vasudevan, A., S.K, B., Hilgers, R.-D., & Franzen, R. (2022). Laterally closed tunnel technique with and without adjunctive photobiomodulation therapy for the management of isolated gingival recession—a randomized controlled assessor-blinded clinical trial. Lasers in Medical Science, 37(3), 1625-1634. doi: https://dx.doi.org/10.1007/s10103-021-03411-0
Liu, W. J., & Solt, C. W. (1980). A surgical procedure for the treatment of localized gingival recession in conjunction with root surface citric acid conditioning. Journal of Periodontology, 51(9), 505-509. doi: https://dx.doi.org/10.1902/jop.1980.51.9.505
Mahn, D. H. (2001). Treatment of gingival recession with a modified "tunnel" technique and an acellular dermal connective tissue allograft. Practical Procedures & Aesthetic Dentistry 13(1), 69-74; quiz 76.
Matter, J. (1979). Free gingival graft and coronally repositioned flap. A 2-year follow-up report. Journal of Clinical Periodontology, 6(6), 437-442. doi: https://dx.doi.org/10.1111/j.1600-051x.1979.tb01942.
Mayta-Tovalino, F., Barboza, J. J., Pasupuleti, V., & Hernandez, A. V. (2023). Efficacy of Tunnel Technique (TUN) versus Coronally Advanced Flap (CAF) in the Management of Multiple Gingival Recession Defects: A Meta-Analysis. International Journal of Dentistry, 2023(1), 8671484. doi:https://doi.org/10.1155/2023/8671484
Mazzotti, C., Mounssif, I., Rendón, A., Mele, M., Sangiorgi, M., Stefanini, M., & Zucchelli, G. (2023). Complications and treatment errors in root coverage procedures. Periodontology 2000, 92(1), 62-89. doi:https://doi.org/10.1111/prd.12468
McGuire, M. K. (1990). Coverage of the Denuded Root Surface Using the Free Soft Tissue Autograft. The Journal of the American Dental Association, 121(2), 277-279. doi: https://dx.doi.org/10.14219/jada.archive.1990.0244
Mercado, F., Hamlet, S., & Ivanovski, S. (2020). Subepithelial connective tissue graft with or without enamel matrix derivative for the treatment of multiple Class III-IV recessions in lower anterior teeth: A 3-year randomized clinical trial. Journal of Periodontology, 91(4), 473-483. doi: https://dx.doi.org/10.1002/jper.19-0058
Miller Jr, P. D. (1985). Root coverage using the free soft tissue autograft following citric acid application. III. A successful and predictable procedure in areas of deep-wide recession. International Journal of Periodontics & Restorative Dentistry, 5(2).
Miller, P. D., Jr. (1987). Root coverage with the free gingival graft. Factors associated with incomplete coverage. Journal of Periodontology, 58(10), 674-681. doi: https://dx.doi.org/10.1902/jop.1987.58.10.674
Miller, P. D., Jr., & Binkley, L. H., Jr. (1986). Root coverage and ridge augmentation in Class IV recession using a coronally positioned free gingival graft. Journal of Periodontology, 57(6), 360-363. doi: https://dx.doi.org/10.1902/jop.1986.57.6.360
Mythri, S., Arunkumar, S. M., Hegde, S., Rajesh, S. K., Munaz, M., & Ashwin, D. (2015). Etiology and occurrence of gingival recession - An epidemiological study. Journal of Indian Society of Periodontology, 19(6), 671-675. doi:10.4103/0972-124x.156881
Nabers, J. M. (1966). Free gingival grafts. Periodontics, 4(5), 243-245.
Nart, J., Valles, C., Mareque, S., Santos, A., Sanz-Moliner, J., & Pascual, A. (2012). Subepithelial connective tissue graft in combination with a coronally advanced flap for the treatment of Miller Class II and III gingival recessions in mandibular incisors: a case series. International Journal of Periodontics & Restorative Dent, 32(6), 647-654.
Nelson, S. W. (1987). The subpedicle connective tissue graft. A bilaminar reconstructive procedure for the coverage of denuded root surfaces. Journal of Periodontology, 58(2), 95-102. doi: https://dx.doi.org/10.1902/jop.1987.58.2.95
Nieri, M., Pini Prato, G. P., Giani, M., Magnani, N., Pagliaro, U., & Roberto, R. (2013). Patient perceptions of buccal gingival recessions and requests for treatment. Journal of Clinical Periodontology, 40(7), 707-712. doi:https://doi.org/10.1111/jcpe.12114
Paolantonio, M., di Murro, C., Cattabriga, A., & Cattabriga, M. (1997). Subpedicle connective tissue graft versus free gingival graft in the coverage of exposed root surfaces. A 5-year clinical study. Journal of Clinical Periodontology, 24(1), 51-56. doi: https://dx.doi.org/10.1111/j.1600-051x.1997.tb01184.x
Parlak, H. M., Yilmaz, B. T., Durmaz, M. H., Toz, H., & Keceli, H. G. (2023). The effects of vertically coronally advanced flap and free gingival graft techniques on shallow vestibule: a randomized comparative prospective trial. Clinical Oral Investigations, 27(12), 7425-7436. doi: https://dx.doi.org/10.1007/s00784-023-05332-4
Patel, M., Nixon, P. J., & Chan, M. F. (2011). Gingival recession: Part 1. Aetiology and non-surgical management. British Dental Journal, 211(6), 251-254. doi: https://dx.doi.org/10.1038/sj.bdj.2011.764
Prato, G., & Gianfilippo, R. (2023). Challenges and success in periodontal plastic surgery. Journal of Clinical Periodontology, 50. doi: https://dx.doi.org/10.1111/jcpe.13869
Quispe-López, N., Sánchez-Santos, J., Delgado-Gregori, J., López-Malla Matute, J., López-Valverde, N., Zubizarreta-Macho, Á., Montero, J. (2022). Double Lateral Sliding Bridge Flap versus Laterally Closed Tunnel for the Treatment of Single Recessions in the Mandibular Anterior Teeth: A Pseudorandomized Clinical Trial. Journal of Clinical Medicine, 11(10), 2918. doi:https://dx.doi.org/10.3390/jcm11102918
Raetzke, P. B. (1985). Covering localized areas of root exposure employing the "envelope" technique. Journal of Periodontology, 56(7), 397-402. doi: https://dx.doi.org/10.1902/jop.1985.56.7.397
Sculean, A., & Allen, E. P. (2018). The Laterally Closed Tunnel for the Treatment of Deep Isolated Mandibular Recessions: Surgical Technique and a Report of 24 Cases. International Journal of Periodontics & Restorative Dentistry, 38(4), 479-487. doi: https://dx.doi.org/10.11607/prd.3680
Sculean, A., Cosgarea, R., Stähli, A., Katsaros, C., Arweiler, N. B., Brecx, M., & Deppe, H. (2014). The modified coronally advanced tunnel combined with an enamel matrix derivative and subepithelial connective tissue graft for the treatment of isolated mandibular Miller Class I and II gingival recessions: a report of 16 cases. Quintessence International, 45(10), 829-835. doi: https://dx.doi.org/10.3290/j.qi.a32636
Sculean, A., Cosgarea, R., Stähli, A., Katsaros, C., Arweiler, N. B., Miron, R. J., & Deppe, H. (2016). Treatment of multiple adjacent maxillary Miller Class I, II, and III gingival recessions with the modified coronally advanced tunnel, enamel matrix derivative, and subepithelial connective tissue graft: A report of 12 cases. Quintessence International, 47(8), 653-659. doi: https://dx.doi.org/10.3290/j.qi.a36562
Skierska, I., Wyrębek, B., & Górski, B. (2022). Clinical and Aesthetic Outcomes of Multiple Gingival Recessions Coverage with Modified Coronally Advanced Tunnel and Subepithelial Connective Tissue Graft in Maxilla and Mandible: A 2-Year Retrospective Study. International Journal of Environmental Research and Public Health, 19(17). doi: https://dx.doi.org/10.3390/ijerph191711024
Stefanini, M., Mounssif, I., Marzadori, M., Mazzotti, C., Mele, M., & Zucchelli, G. (2021). Vertically Coronally Advanced Flap (V-CAF) to Increase Vestibule Depth in Mandibular Incisors. International Journal of Periodontics & Restorative Dentistry, 41(3), 325-333. doi: https://dx.doi.org/10.11607/prd.4925
Stimmelmayr, M., Allen, E. P., Gernet, W., Edelhoff, D., Beuer, F., Schlee, M., & Iglhaut, G. (2011). Treatment of gingival recession in the anterior mandible using the tunnel technique and a combination epithelialized-subepithelial connective tissue graft-a case series. International Journal of Periodontics & Restorative Dentistry, 31(2), 165-173.
Sullivan, H. C., & Atkins, J. H. (1968). Free autogenous gingival grafts. 3. Utilization of grafts in the treatment of gingival recession. Periodontics, 6(4), 152-160.
Tavelli, L., Barootchi, S., Nguyen, T. V. N., Tattan, M., Ravidà, A., & Wang, H. L. (2018). Efficacy of tunnel technique in the treatment of localized and multiple gingival recessions: A systematic review and meta-analysis. Journal of Periodontology, 89(9), 1075-1090. doi: https://dx.doi.org/10.1002/jper.18-0066
Thalmair, T., Fickl, S., & Wachtel, H. (2016). Coverage of Multiple Mandibular Gingival Recessions Using Tunnel Technique with Connective Tissue Graft: A Prospective Case Series. International Journal of Periodontics & Restorative Dent, 36(6), 859-867. doi: https://dx.doi.org/10.11607/prd.2278
Tonetti, M. S., & Jepsen, S. (2014). Clinical efficacy of periodontal plastic surgery procedures: consensus report of Group 2 of the 10th European Workshop on Periodontology. Journal of Clinical Periodontology, 41 Suppl 15, S36-43. doi: https://dx.doi.org/10.1111/jcpe.12219
Tözüm, T. F., & Dini, F. M. (2003). Treatment of adjacent gingival recessions with subepithelial connective tissue grafts and the modified tunnel technique. Quintessence International, 34(1), 7-13.
Vignoletti, F., Di Martino, M., Clementini, M., Di Domenico, G. L., & de Sanctis, M. (2020). Prevalence and risk indicators of gingival recessions in an Italian school of dentistry and dental hygiene: a cross-sectional study. Clinical Oral Investigations, 24(2), 991-1000. doi: https://dx.doi.org/10.1007/s00784-019-02996-9
Wennström, J. L. (1996). Mucogingival therapy. Annals of Periodontology, 1(1), 671-701. doi: https://dx.doi.org/10.1902/annals.1996.1.1.671
Yilmaz, B. T., Comerdov, E., Kutuk, C., Nart, J., & Keceli, H. G. (2022). Modified coronally advanced tunnel versus epithelialized free gingival graft technique in gingival phenotype modification: a comparative randomized controlled clinical trial. Clinical Oral Investigations, 26(10), 6283-6293. doi: https://dx.doi.org/10.1007/s00784-022-04580-0
Zabalegui, I., Sicilia, A., Cambra, J., Gil, J., & Sanz, M. (1999). Treatment of multiple adjacent gingival recessions with the tunnel subepithelial connective tissue graft: a clinical report. International Journal of Periodontics & Restorative Dent, 19(2), 199-206.
Zadeh, H. H. (2011). Minimally invasive treatment of maxillary anterior gingival recession defects by vestibular incision subperiosteal tunnel access and platelet-derived growth factor BB. International Journal of Periodontics & Restorative Dent, 31(6), 653-660.
Zucchelli, G., Amore, C., Sforza, N. M., Montebugnoli, L., & De Sanctis, M. (2003). Bilaminar techniques for the treatment of recession-type defects. A comparative clinical study. Journal of Clinical Periodontology, 30(10), 862-870. doi: https://dx.doi.org/10.1034/j.1600-051x.2003.00397.x
Zucchelli, G., & De Sanctis, M. (2000). Treatment of multiple recession-type defects in patients with esthetic demands. Journal of Periodontology, 71(9), 1506-1514. doi: https://dx.doi.org/10.1902/jop.2000.71.9.1506
Zucchelli, G., Marzadori, M., Mounssif, I., Mazzotti, C., & Stefanini, M. (2014). Coronally advanced flap + connective tissue graft techniques for the treatment of deep gingival recession in the lower incisors. A controlled randomized clinical trial. Journal of Clinical Periodontology, 41(8), 806-813. doi:10.1111/jcpe.12269
Zucchelli, G., Tavelli, L., Ravidà, A., Stefanini, M., Suárez-López Del Amo, F., & Wang, H. L. (2018). Influence of tooth location on coronally advanced flap procedures for root coverage. Journal of Periodontology, 89(12), 1428-1441. doi: https://dx.doi.org/10.1002/jper.18-0201
Zuhr, O., Bäumer, D., & Hürzeler, M. (2014). The addition of soft tissue replacement grafts in plastic periodontal and implant surgery: critical elements in design and execution. Journal of Clinical Periodontology, 41 Suppl 15, S123-142. doi: https://dx.doi.org/10.1111/jcpe.12185
Zuhr, O., Fickl, S., Wachtel, H., Bolz, W., & Hürzeler, M. B. (2007). Covering of gingival recessions with a modified microsurgical tunnel technique: case report. International Journal of Periodontics & Restorative Dentistry, 27(5), 457-463.

Details

Primary Language

English

Subjects

Clinical Sciences (Other), Health Services and Systems (Other)

Journal Section

Review

Authors

Ahmet Çağlar Kalkan ^*
0000-0001-7649-6290
Türkiye

Burcu Özdemir
0000-0003-0356-7769
Türkiye

Sıla Çağrı İşler
0000-0001-5419-9658
Türkiye

Publication Date

December 31, 2024

Submission Date

October 28, 2024

Acceptance Date

December 19, 2024

Published in Issue

Year 2024 Volume: 6 Number: 3

DOI

https://doi.org/10.59124/guhes.1574527

IZ

https://izlik.org/JA77BM85CS

APA

Kalkan, A. Ç., Özdemir, B., & İşler, S. Ç. (2024). Mandibular Gingival Recessions: A Challenge of Achieving Complete Root Coverage in Periodontal Plastic Surgery? Journal of Gazi University Health Sciences Institute, 6(3), 139-151. https://doi.org/10.59124/guhes.1574527

AMA

1.Kalkan AÇ, Özdemir B, İşler SÇ. Mandibular Gingival Recessions: A Challenge of Achieving Complete Root Coverage in Periodontal Plastic Surgery? GUHES. 2024;6(3):139-151. doi:10.59124/guhes.1574527

Chicago

Kalkan, Ahmet Çağlar, Burcu Özdemir, and Sıla Çağrı İşler. 2024. “Mandibular Gingival Recessions: A Challenge of Achieving Complete Root Coverage in Periodontal Plastic Surgery?”. Journal of Gazi University Health Sciences Institute 6 (3): 139-51. https://doi.org/10.59124/guhes.1574527.

EndNote

Kalkan AÇ, Özdemir B, İşler SÇ (December 1, 2024) Mandibular Gingival Recessions: A Challenge of Achieving Complete Root Coverage in Periodontal Plastic Surgery? Journal of Gazi University Health Sciences Institute 6 3 139–151.

IEEE

[1]A. Ç. Kalkan, B. Özdemir, and S. Ç. İşler, “Mandibular Gingival Recessions: A Challenge of Achieving Complete Root Coverage in Periodontal Plastic Surgery?”, GUHES, vol. 6, no. 3, pp. 139–151, Dec. 2024, doi: 10.59124/guhes.1574527.

ISNAD

Kalkan, Ahmet Çağlar - Özdemir, Burcu - İşler, Sıla Çağrı. “Mandibular Gingival Recessions: A Challenge of Achieving Complete Root Coverage in Periodontal Plastic Surgery?”. Journal of Gazi University Health Sciences Institute 6/3 (December 1, 2024): 139-151. https://doi.org/10.59124/guhes.1574527.

JAMA

1.Kalkan AÇ, Özdemir B, İşler SÇ. Mandibular Gingival Recessions: A Challenge of Achieving Complete Root Coverage in Periodontal Plastic Surgery? GUHES. 2024;6:139–151.

MLA

Kalkan, Ahmet Çağlar, et al. “Mandibular Gingival Recessions: A Challenge of Achieving Complete Root Coverage in Periodontal Plastic Surgery?”. Journal of Gazi University Health Sciences Institute, vol. 6, no. 3, Dec. 2024, pp. 139-51, doi:10.59124/guhes.1574527.

Vancouver

1.Ahmet Çağlar Kalkan, Burcu Özdemir, Sıla Çağrı İşler. Mandibular Gingival Recessions: A Challenge of Achieving Complete Root Coverage in Periodontal Plastic Surgery? GUHES. 2024 Dec. 1;6(3):139-51. doi:10.59124/guhes.1574527

Mandibular Gingival Recessions: A Challenge of Achieving Complete Root Coverage in Periodontal Plastic Surgery?

Abstract

Keywords

Thanks

Mandibular Diş Eti Çekilmeleri: Periodontal Plastik Cerrahide Tam Kök Kapama Sağlamak Bir Zorluk mu?

Abstract

Keywords

References

Details

Primary Language

Subjects

Journal Section

Authors

Publication Date

Submission Date

Acceptance Date

Published in Issue

DOI

IZ

Cite